| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $4,897.79 | $14,791.08 | |
BCBS
| Facility | $3,890.45 | $13,489.63 | $30,199.52 | |
Cigna
| Facility | $562.34 | $7,943.28 | $33,884.42 | |
United
| Facility | $3,801.89 | $13,489.63 | $38,904.51 |